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Senior Contract Manager
1 month ago
We are seeking a highly skilled Senior Contract Manager to join our team at San Francisco Health Plan. As a key member of our Contracts Management team, you will play a critical role in developing and implementing provider contracting strategies to ensure the health plan's network is well-equipped to provide exceptional care to our members.
Key Responsibilities- Develop and manage provider contracting efforts and partnerships to drive business growth and improve member outcomes.
- Lead the development of contracting strategies based on new or existing initiatives and requirements, ensuring alignment with the health plan's goals and objectives.
- Collaborate with internal stakeholders, including the Contracts and Provider Relations teams, to ensure seamless contract implementation and resolution of contract-related issues.
- Analyze healthcare data to inform contract negotiations and identify opportunities for network development and growth.
- Communicate new and updated contract terms and rates to internal stakeholders, ensuring timely and accurate information dissemination.
- Participate in and support enterprise-wide projects to implement new benefits and products, driving business innovation and growth.
- 5+ years of experience in healthcare provider contracting in a managed care setting.
- 3+ years of experience with Medi-Cal and/or Medicare in a managed care setting.
- 3+ years of direct provider contract negotiation experience.
- BA/BS in Business, Healthcare, or a related field.
- Experience with analysis of healthcare data for the purposes of contract negotiations.
- Comprehension of legal terms typically found in managed care agreements.
- Experience with data gathering, and data/report analysis.
- Detail-oriented and organized with the ability to interpret policy and make recommendations.
- Knowledge of Microsoft Access and Visio.
- A choice of medical plans, including options from Kaiser and Blue Shield of California, heavily subsidized by SFHP.
- A choice of a basic dental plan or an enhanced dental plan which includes orthodontic coverage.
- Employee vision care coverage through Vision Service Plan (VSP).
- Employer-matched CalPERS Pension and 401(a) plans, 457 Plan.
- 23 days of Paid Time Off (PTO) and 13 paid holidays.
- Opportunities for tuition reimbursement, professional license/membership.
Established in 1997, San Francisco Health Plan (SFHP) is an award-winning, managed care health plan whose mission is to provide affordable healthcare coverage to the underserved low and moderate-income residents in San Francisco County.
SFHP is chosen by eight out of every ten San Francisco Medi-Cal managed care enrollees, and its 175,000+ members have access to a full spectrum of medical services, including preventive care, specialty care, hospitalization, prescription drugs, and family planning services.
